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Hormone therapy

If your doctor thinks that your erectile dysfunction is related to your hormones, chances are you will be referred to a hormone specialist (an endocrinologist) who will look to rebalance your hormone levels (probably with a series of hormone injections.)

Surgery

Surgery is a last resort for treating impotence. It is normally only recommended for younger men who have seriously injured their pelvic area or men who have an anatomical problem with their penis.

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Most men will notice a firmer and longer-lasting erection. If the treatment does not work, ask our doctors (or your own GP), whether it would be appropriate to increase the dose. Alternatively, they may recommend another treatment.

If Cialis doesn’t work for you first time round, it could nevertheless be more effective next time. Doctors often advise trying all erectile dysfunction medicines eight times before giving up.

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Treatments Available

Men suffering from erectile dysfunction should inform their GP who will undertake an assessment, possibly perform tests, and provide advice.

Why Cialis?

Cialis benefits from having a long duration of action. Viagra remains active for about 4 hours, Levitra for 4-5 hours and Cialis for 36 hours – hence its familiar name 'The Weekend Pill'. Erections will not be continuous during 36 hours after taking Cialis, occurring only at times of arousal during those 36 hours.

Cialis

1. Register

If your GP is enrolled in the NHS electronic prescription service, you can register to order your scripts online

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Initial Dosage

The recommended starting dose of Cialis is 10mg, 30 minutes before sexual activity. If unsuccessful, the dosage can be increased to 20mg. A second dose should not be taken however within 72 hours of the first. It it advised that any ED medication should be taken several times, before deciding to try another, as it may not work first time.